plymouth’s healthy lives for healthy weight actio n...

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PLYMOUTH’S HEALTHY LIVES FOR HEALTHY WEIGHT ACTION PLAN

| 2015-2018 |

BACKGROUND TO BE INCLUDED HERE

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Acknowledgements and Version Control

Thank you to the members of the Plymouth Healthy Lives for Healthy Weight Task and Finish Group and wider stakeholders for their time, commitment and contributions to development of this Action Plan. The Action Plan was approved by XXX on X and is fully endorsed by XXX. The Plymouth Healthy Lives for Healthy Weight Task and Finish Group will be the responsible forum for the management, review and updating of the Action Plan and will report quarterly to the Health and Wellbeing Board. Please see the group’s Terms of Reference and reporting processes outlined below. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Author: Plymouth Healthy Lives for Healthy Weight Task and Finish Group. For further information please contact Sarah Ogilvie (Specialty Registrar in Public Health, Office of the Director of Public Health) - [email protected].

Our Goal

To enable all Plymouth citizens to achieve and maintain healthy lives for healthy weight

Our Strategic Aims

1 To build a strategic, sustainable and city-wide approach to promoting healthy lives for healthy weight

2 To create and develop active, health promoting environments where we live, play, learn and work

3 To give all children the best start and support the achievement of healthy lives for healthy weight in their families and communities

4 To ensure effective prevention, identification, early intervention and management of obesity in children and adults

Values and Principles (interlinked & influence each other)

• TO BE COMPLETED • Support Best Practice and Innovation • Joined-up and Co-ordinated Working to optimise the difference that can be made • Involvement and Consultation • Evidenced Based • Holistic and Integrated

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Key Terms

Objective What we aim to achieve

Action What we will do and how we will do this

Milestones and Outcomes Intended completed actions to show we are on track to achieve our objective(s) and how we will know we have done what we aimed to do and made a difference locally (L) and nationally (N)

Timescales When will this work start and when will it be done by

Status How we will rate our progress: action not started/milestone not on track in progress completed

Lead(s) Who will be the key person(s) responsible for ensuring this will happen

Key Partners Who will be the key people who can contribute to achieving the objective

Health and Wellbeing Board

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DELIVERY FRAMEWORK – STRUCTURES AND ACCOUNTABILITY

Link to Plymouth’s Health and Wellbeing Strategy Priority 2: “Healthy Weight”

PLYMOUTH’S HEALTHY LIVES FOR HEALTHY WEIGHT ACTION PLAN

Plymouth’s Healthy Lives for Healthy Weight Task and Finish Group

IMPLEMENTATION / TASK AND FINISH GROUPS LEADING ON RELEVANT AREAS OF ACTION

PLAN:

Antenatal & Early Years Healthy

Lives for Healthy Weight

Implementation Group (0-5s)

(focus Aims 2-4)

School Age & Young People

Healthy Lives for Healthy Weight Implementation Group (5-19s) (Aims 2 & 4)

Maternity Obesity Care Pathway Task

& Finish Group (Aim 4)

Physical Activity Strategy Group (Aim 2)

Healthy Lives for Healthy Weight

Workforce Development

Group (Aim 2)

Plymouth Healthy Lives for Healthy Weight Communications Strategy Group

Known city partnership groups whose aims and objectives have alignment to impact on healthy lives for healthy weight: TO BE POPULATED

PHL4HW members: Plymouth City Council: Public Health Community Services Transport & Planning Sport Leisure (inc. Everyone Active) Environmental Services Co-operative Commissioning & Adult Social Care Education, Learning and Families Plymouth Community Healthcare: Clinical Education Lead for Health Visiting and Nursing Livewell Team Breastfeeding Coordinator Plymouth Hospitals NHS Trust: Midwife Postnatal and Community Matron Consultant Physician, Diabetes and Endocrinology Primary Care/CCG: GP CCG Commissioning Lead for Long Term Conditions Academic: Plymouth University (Public Health Dietetics) University of St Mark and St John Plymouth Guild: Active for Life

Child & Young Person

Obesity Care Pathway Task

& Finish Group (Aim 4)

Adult & Older Adults Obesity Care Pathway Task & Finish

Group (Aim 4)

ACTION PLAN –

– VISUAL OVERVIEW OF AIMS & OBJECTIVES

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OF AIMS & OBJECTIVES

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Aim 1: To build a strategic, sustainable and city-wide approach to promoting healthy lives for healthy weight Addressing the many behavioural and societal factors that combine to contribute to the causes of obesity requires a strategic, holistic, and city-wide approach to promoting healthy lives for healthy weight. Aim 1 outlines the strategic direction for this approach through establishment of Plymouth’s Healthy Lives for Healthy Weight Task and Finish Group and builds a healthier city through delivery of Plymouth’s Healthy Lives for Healthy Weight Action Plan 2014-2017. The approach taken should be fair for all, sustainable, and focused on enabling Plymouth’s citizens and their communities to take control over their own lives. Critical to delivery of the plan is the need for clear, consistent and easily recognisable health-related messages and branding across the city.

Aim 1: To build a strategic, sustainable and city-wide approach

to promoting healthy lives for healthy weight

Objective 1.1: Establish a multi-agency Healthy Lives for Healthy Weight Task and Finish Group to provide strategic direction for a city-wide approach to promoting healthy lives for healthy

weight

Objective 1.2: Deliver Plymouth's Healthy Lives for Healthy Weight Action

Plan 2014-2017

Objective 1.3: Adopt a fair and sustainable, asset-based community development approach to promoting

healthy lives for healthy weight

Objective 1.4: Ensure that all messages and programmes related to healthy lives for healthy weight are highly

visible, easily recognisable and held together under a common theme and communications plan across the city

LINKED MARMOT POLICY OBJECTIVES: • Give every child the best start in life • Enable all children, young people and adults to

maximise their capabilities and have control over their lives

• Create fair employment and good work for all • Ensure a healthy standard of living for all • Create and develop healthy and sustainable

places and communities • Strengthen the role and impact of ill-health

prevention LINKED LOCAL POLICIES/STRATEGIES: • Plymouth’s Joint Health and Wellbeing Strategy • The Plymouth Fairness Commission Final Report

2014

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Aim 1: To build a strategic, sustainable, city-wide approach to promoting healthy lives for healthy weight Action Milestones and

outcomes Start date End

date Action status

Lead(s) Key partner(s) Performance indicator(s) / Public Health Outcomes Framework Indicator(s) action contributes to

Indicator status

Objective 1.1: To establish a multi-agency Plymouth Healthy Lives for Healthy Weight Task and Finish Group to provide strategic direction for a city-wide approach to promoting healthy lives for healthy weight 1.1.1 Establish a multi-

agency Plymouth Healthy Lives for Healthy Weight Task and Finish Group

Plymouth Healthy Lives for Healthy Weight Task and Finish Group established with identified Chair and quarterly meetings

May 2013 Ongoing Julie Frier (ODPH, PCC)

PCC PCH Plymouth Hospitals NHS Trust Northern, Eastern & Western Devon Clinical Commissioning Group Plymouth University University of St Mark and St John Plymouth Guild

N/A N/A

Terms of reference agreed

May 2013 Ongoing N/A N/A

Relationship to Health and Wellbeing Board established

May 2014 May 2014

N/A N/A

Portfolio Holders informed of programme of work via scheduled Public Health briefing meetings and at the meeting of the Health and Wellbeing Board in September 2014 when plan in revised draft format

Sept 2014 Ongoing N/A N/A

Provide leadership and advocacy regarding


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date Action status


Indicator status

healthy lives for healthy weight

Review and advocate evidence based policies, guidance and interventions to promote healthy lives for healthy weight – AND use this intelligence to inform ongoing work of the Task and Finish Group


Develop the Plymouth’s Healthy Lives for Healthy Weight Action Plan 2014-2017 using the best available evidence


Oversee implementation of Plymouth’s Healthy Lives for Healthy Weight Action Plan 2014-2017 via quarterly meetings and review status via Quarterly Action Plan Monitoring


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date Action status


Indicator status

Reports Regular briefings on status of Action Plan to Portfolio Holders


Yearly briefings on status of Action Plan to Cabinet/Health and Wellbeing Board


Explore benefits of a city-wide application to become a WHO Healthy City (or the UK equivalent) in a whole systems approach to improving health and wellbeing


Task and Finish Group member to sit on established Peninsula Healthy Weight Network Group and link the work of both groups

Ongoing Ongoing N/A N/A

Following implementation groups established with terms of

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date Action status


Indicator status

reference and regular meetings to lead on specific areas of the Healthy Lives for Healthy Weight Action Plan: Antenatal and Early Years Healthy Lives for Healthy Weight Implementation Group (0-5s) (focus Aims 2-4)

Group already established

Ongoing Rachel Humphries (Livewell Team, PCH)

N/A N/A

School Age and Young People Healthy Lives for Healthy Weight Implementation Group (5-19s) (focus Aims 2 and 4)

Group already established

Ongoing Julie Frier (ODPH, PCC)

N/A N/A

Healthy Lives for Healthy Weight Workforce Development Group (focus Aim 2)

Group to be established

Ongoing TBC N/A N/A

Maternity Obesity Care Pathway Task and Finish Group (focus Aim 5)


Ongoing TBC N/A N/A

Child and Young Group to Ongoing TBC N/A N/A

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date Action status


Indicator status

Person Obesity Care Pathway Task and Finish Group (focus Aim 5)

be established

Adult and Older Adults Obesity Care Pathway Task and Finish Group (focus Aim 5)


Ongoing TBC N/A N/A

Physical Activity Strategy Group (focus Aim 2)


Ongoing Sarah Lees (ODPH, PCC)

N/A N/A

Objective 1.2: To deliver Plymouth's Healthy Lives for Healthy Weight Action Plan 2014-2017 1.2.1 Deliver Plymouth’s

Healthy Lives for Healthy Weight Action Plan 2014-2017

Quarterly monitoring of status of Action Plan via quarterly meetings of Plymouth’s Healthy Lives for Healthy Weight Task and Finish Group and Quarterly Action Plan Monitoring Reports

April 2014 Ongoing Julie Frier (ODPH, PCC)

PCC PCH Plymouth Hospitals NHS Trust Northern, Eastern & Western Devon Clinical Commissioning Group

N/A N/A

Regular briefings on status of Action Plan to Portfolio Holders

May 2014 Ongoing Julie Frier (ODPH, PCC)

N/A N/A

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date Action status


Indicator status

Yearly briefings on status of action plan to Cabinet / Health and Wellbeing Board

TBC Ongoing Julie Frier (ODPH, PCC)

Plymouth University University of St Mark and St John Plymouth Guild

N/A N/A

Refresh of Action Plan every 3 years

2017 Ongoing Julie Frier (ODPH, PCC)

N/A N/A

Objective 1.3: To adopt a fair and sustainable, asset-based community development approach to promoting healthy lives for healthy weight 1.3.1 Use an Equality

Impact Assessment (EIA) Approach to ensure that Plymouth’s Healthy Lives for Healthy Weight Action Plan is fair to all and that equality and diversity is considered in the design, development and delivery of related policies and services

Ongoing process – complete EIA on action plan

Ongoing Ongoing Julie Frier (ODPH, PCC) (supported by Benji Shoker, Equalities Officer, Homes & Communities, PCC)

PCC PCH Plymouth Hospitals NHS Trust Northern, Eastern & Western Devon Clinical Commissioning Group

N/A N/A

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date Action status


Indicator status

1.3.2 Complete Health Impact Assessments for Plymouth policies and programmes where appropriate to ensure that health inequalities are not exacerbated across the population

Ongoing process Ongoing Ongoing Julie Frier (ODPH, PCC)

Plymouth University University of St Mark and St John Plymouth Guild

N/A N/A

1.3.3 Adopt a sustainable, asset-based community development approach to promoting healthy lives for healthy weight

Healthy Lives for Healthy Weight Task and Finish Group to: • promote activity to

develop resilience in individuals and communities

• adopt a community

development and assets based

Ongoing Ongoing Julie Frier (ODPH, PCC)

N/A N/A

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date Action status


Indicator status

approach • support and enable

local volunteer groups and schemes to link with each other

• underpin work

through a strong level of continued partnership working

Objective 1.4: To ensure that all messages and programmes related to healthy lives for healthy weight are highly visible, easily recognisable and held together under a common theme and communications plan across the city 1.4.1 Establish the

Plymouth Healthy Lives for Healthy Weight Communications Strategy Group

Plymouth Healthy Lives for Healthy Weight Communications Strategy Group established with identified Chair and quarterly meetings

Sept 2014 Ongoing TBC PCC PCH Plymouth Hospitals NHS Trust Northern, Eastern & Western Devon Clinical Commissioning

N/A N/A

Terms of reference agreed


Establish relationship to Plymouth’s Healthy Lives for Healthy Weight Task and Finish


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date Action status


Indicator status

Group and Implementation Groups

Group Plymouth University University of St Mark and St John Plymouth Guild

Develop a Communications & Engagement Plan for the city


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Aim 2: To create and develop active, health promoting environments where we live, play, learn and work Healthy people need healthy environments including their neighbourhoods, local surroundings, schools and places of work. The focus of Aim 2 is to create and develop active, health promoting environments where people live, play, learn and work. Aspirational outcomes include removing barriers to improving health and wellbeing and facilitating active, healthy lifestyles, particularly amongst our most disadvantaged communities and neighbourhoods. This requires new ways of thinking and working to enable transformative community change and a reduction in the gap in health inequalities, with greater collaboration between residents and public service providers. Promotion of health and wellbeing should be at the core of every organisation’s design and culture. By delivering consistent and simple healthy lifestyle messages, combined with appropriate signposting to services, health and social care staff can ‘make every contact count’ and embed this into their day-to-day activity and wider partners.

Aim 2: To create and develop active, health

promoting environments where we live, play, learn

and work

Active, healthy built environments

Objective 2.1: Ensure health and wellbeing and health infrastructure are examined in local and neighbourhood plans and in planning decision-

making

Objective 2.2: Provide wide-ranging, accessible and affordable opportunities for all to increase the number of people taking regular physical

activity

Healthy food environments

Objective 2.3: Adopt a whole settings approach to transforming food culture, including strategic

activities, to increase awareness of the importance of food in health and wellbeing and improve access to healthier food options across

settings

Active, healthy learning

environments

Objective 2.4: Inspire and enable educational settings (including early years,

schools, colleges and universities) and community settings to be active, health

promoting learning environments

Active, healthy work environments

Objective 2.5: Develop a healthy workforce that is competent, confident and effective

in promoting healthy lives for healthy weight

LINKED MARMOT POLICY OBJECTIVES: ALL LINKED LOCAL POLICIES/STRATEGIES: • The Plymouth Plan 2015-2031 • The Plymouth Fairness Commission Final

Report 2014 • Plymouth Green Space Strategy 2008-23 • Plymouth Green Infrastructure Delivery

Plan (2010) • Plymouth’s Sustainable Community

Strategy 2007-2020 • Plymouth’s Local Development

Framework 2006-2021 • Plymouth Sports Development Plan

2014-2017 • Plymouth’s Playing Pitch Strategy 2007-

2016 (refresh Aug 2014) • Plymouth’s Sports Facility Strategy • Plymouth’s Aquatics Strategy 2010-2020 • Plymouth’s Swimming Facilities Strategy

2006-2016 • Plymouth Food Charter and Food

Plymouth Action Plan 2011-2014 • Plymouth City Council’s Food Policy

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Aim 2: To create and develop active, health promoting environments where we live, play, learn and work Action Milestones and

outcomes Start date

End date Action status

Lead(s) Key partner(s)

Performance indicator(s) / Public Health Outcomes Framework Indicator(s) action contributes to

Indicator status

Objective 2.1: Ensure health and wellbeing and health infrastructure are examined in local and neighbourhood plans and in planning decision-making 2.1.1 Agree a strategy to ensure that health

and wellbeing are incorporated in planning decisions and review how health and wellbeing are incorporated within The Plymouth Plan 2015-2031

MILESTONES NEEDED

May 2014

Dec 2014 Oliver Gibbons (Strategic Planning and Infrastructure, PCC)

Strategic Planning and Infrastructure (PCC) Economic Development (PCC) ODPH (PCC)

TBC TBC

Health Impact Assessments completed for major developments to ensure that the potential impacts on health have been considered at the planning and design stage

Ongoing Ongoing

Health Impact Assessments completed on Plymouth policies and programmes where appropriate to maximise the positive health impacts and

Ongoing Ongoing

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outcomes Start date




Indicator status

minimise the negative health impacts and ensure that health inequalities are not exacerbated across the population Review National Planning Practice Guidance which now includes a section on health and wellbeing (there is reference to HIA, access to healthier food and health inequalities)

May 2014

Dec 2014

2.1.2 Deliver Plymouth’s Sustainable Community Strategy 2007-2020 (identifies importance of green space)

TBC 2007 2020 TBC TBC TBC

2.1.3 Promote active travel (especially walking and cycling) across Plymouth through planning

TBC RICHARD GRANT

2014 Ongoing Philip Heseltine (Head of Transport, Infrastruct

TBC TBC

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outcomes Start date




Indicator status

ure and Investment, PCC)

Continue to encourage active travel through the development and delivery of travel plans

Ongoing Ongoing Rosie Starr (Strategic Planning and Infrastructure, PCC)

TBC TBC

Review 20mph zones across Plymouth

April 2014

Sept 2014 Sarah Ogilvie (ODPH, PCC) Adrian Trim (Living Streets & Network Management, PCC)

TBC TBC

Objective 2.2: Provide wide-ranging, accessible and affordable opportunities for all to increase the number of people taking regular physical activity 2.2.1 Coordinate and deliver a range of

local and national initiatives aimed at 1,000 opportunities for

April 2014

March 2015

Martin Lees

TBC SDU 1 – 62,000

QTR 1 20,706

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outcomes Start date




Indicator status

increasing physical activity levels, particularly those who are most at need.

young people More people volunteering in their local community Increased participation levels by target groups A reduction in lifestyle driven ill health

(Community Sport Manager, PCC)

attendances in SDU activities SDU 2 – 20% of attendances from deprived neighbourhoods SDU 6 – Value for money, cost per activity

(Amber) QTR 1 20% (Amber)

2.2.2 Commission the Livewell Team (Plymouth Community Healthcare) to: • help people to increase their

physical activity by promoting activity in line with Department of Health guidance and providing a signposting service to physical activity services in the city

• target priority neighbourhoods

Numbers of people signposted to Physical Activity services (threshold 500; quarterly data) Numbers of people attending at least one

1 April 2014

31 March 2015

Commissioner lead: Sarah Lees (Consultant in Public Health, ODPH, PCC)

TBC TBC TBC

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outcomes Start date




Indicator status

and people who are inactive by the provision of appropriate physical activities and provide support to enable them to access mainstream activities (particular attention given to developing a network of walk leaders and running groups and the provision of seated activities for people with disabilities)

• explore the development of a

programme of activities for the over 60’s in conjunction with the Plymouth Community Healthcare Falls Prevention Team

• provide coordination of physical

activity for health improvement across partnerships and organisations

PHIT 'activity/Physical Activity' session (threshold 1000; quarterly data) Numbers of people trained to lead walking or running groups (threshold 30; quarterly data) Number of group activities delivered targeted at adults age 50+ (threshold 10; quarterly data) Coordination of physical activity for health improvement

Provider lead: Steve Waite (CEO, PCH)

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outcomes Start date




Indicator status

(annual report) % of service users respond to client satisfaction survey (threshold 30%; quarterly data) Service user satisfaction scores (quarterly data) % of service users that come from [target] neighbourhood/groups (threshold 70%; quarterly data)

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outcomes Start date




Indicator status

2.2.3 Complete a Physical Activity Needs Assessment for Plymouth

Draft report completed Sept 2014

April 2014

Sept 2014 Sarah Lees and Sarah Ogilvie (ODPH, PCC)

Planning and Transport (PCC) Economic Development Unit (PCC) Strategic Planning and Infrastructure (PCC) ODPH (PCC) Local Nature Partnership Sports Development Unit (PCC) Joint Strategic Commissioning (PCC)

TBC TBC

Needs Assessment updated every three years

Sept 2017

Ongoing N/A at present

Sarah Lees (ODPH, PCC)

TBC TBC

2.2.4 Establish a Peninsula-wide Physical Activity Network Group with Public Health England and other key partners to review guidance and share best practice, and link with the Peninsula Healthy Weight Network.

Group to be established (Sarah Ogilvie to link with Russ Moody (Physical Activity Lead for Public Health England)

Sept 2014

Ongoing Sarah Ogilvie (ODPH, PCC)

TBC TBC

2.2.5 Deliver Plymouth’s Green Space Strategy 2008-2023

TBC

2008 2023 TBC TBC TBC

2.2.6 Deliver Green Infrastructure Delivery Plan (2010)

Implement Green Infrastructure Network projects, including utilising natural spaces for community involvement and health/wellbeing benefits

2010

Ongoing Kat Deeney (Natural Infrastructure Team, PCC)

TBC TBC

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outcomes Start date




Indicator status

2.2.7 Deliver Plymouth’s Sustainable Community Strategy 2007-2020

TBC 2007 2020 TBC Public Health England Sustrans CTC, the national Cycling Charity Plymouth Schools Sports Partnership

TBC TBC

2.2.8 Deliver Plymouth’s Sports Development Plan 2014-2017


2.2.9 Deliver Plymouth’s Sports Facility Strategy DATE?

TBC TBC TBC TBC TBC TBC

2.2.10 Deliver Plymouth’s Swimming Facilities Strategy 2006-2016


2.2.11 Deliver Plymouth’s Aquatics Strategy 2010-2020


2.2.12 Deliver Plymouth’s Playing Pitch Strategy 2007-2016

TBC 2007 2016 Tom Lowy (Natural Infrastructure Team, PCC)

TBC TBC

2.2.13 Promote active travel (especially walking and cycling) across Plymouth

See 2.1.3 Number of households participating in the 14/15 and 15/16 Plymotion personalised travel planning programmes. % change in the awareness and use of sustainable

2011 2016 Rosie Starr (Strategic Planning and Infrastructure, PCC)

TBC TBC

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outcomes Start date




Indicator status

transport in the communities personalised travel planning is delivered in, compared to Plymouth as a whole. Number of adults undertaking adult cycle training, offered through the Plymotion programme.

2012 2016 TBC TBC

Number of participants in the Sky Ride social cycling programmes.

2012 2016 TBC TBC

Number of children undertaking Bikeability training

Ongoing Ongoing

TBC TBC

% increase in the number of children walking, cycling and scooting to

2012 2016 Sutrans ODPH

TBC TBC

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outcomes Start date




Indicator status

school in Bike It Plus schools

Objective 2.3: Adopt a whole settings approach to transforming food culture, including strategic activities, to increase awareness of the importance of food in health and wellbeing and improve access to healthier food options across settings 2.3.1 Deliver the Plymouth Food Charter and

Food Plymouth Action Plan 2011-2014, specifically the strand entitled ‘Health and wellbeing for all’. http://www.foodplymouth.org/downloads/foodcharter.pdf. This includes the following outcomes: • Maximise opportunities for raising

awareness about the importance of food on improving health & wellbeing and influence this at every level

• Particular emphasis on health inequalities and the significance of preventing ill health through diet

• Food meeting place to engage people,

celebrate food and provide opportunities for learning and training

See Food Plymouth Action Plan (progress against outcomes and actions listed) The annual Plymouth Food Awards supports the aims of the Plymouth Food Charter and celebrate the skills and achievements of those who bring healthy and sustainable food to people in Plymouth

2011 2014 Clare Pettinger (Lecturer Public Health Dietetics, Plymouth University)

Food Plymouth Partnership NHS Plymouth PCC Livewell Team (PCH) ODPH (PCC) Strategic Planning & Infrastructure (PCC)

TBC TBC

Review ongoing governance around the Food

2014 2015 Clare Pettinger (Lecturer

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outcomes Start date




Indicator status

Plymouth Partnership (future work to focus on the end user and tackling health inequalities and food poverty)

Public Health Dietetics, Plymouth University)

2.3.2 Support Plymouth City Council to develop strong policies to support healthy eating and access to fresh food

Deliver the actions in the Food Plymouth evidence-based paper for the Plymouth Plan

TBC TBC Jenny Coles (Low Carbon City Officer, Planning, PCC)

TBC TBC

CHECK - Review current provision of Fast Food Outlets across Plymouth and consider development of a Supplementary Planning Document on Fast Food Outlets for inclusion in The Plymouth

TBC TBC TBC TBC TBC

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outcomes Start date




Indicator status

Plan Provide more space for community food growing

Ongoing Ongoing TBC Kat Deeney (Natural Infrastructure Team, PCC)

TBC TBC

Fast Food Outlet briefing paper presented to Plymouth’s Healthy Lives for Healthy Weight Task and Finish Group for discussion

TBC TBC Jenny Coles (Low Carbon City Officer, Planning, PCC)

TBC TBC

2.3.3 Promote the Food Standards Agency recommended food safety management tool “Safer Food, Better Business” to food businesses so they can demonstrate food safety practices. Local pages to be produced around adapting menus to reduce salt, sugar, fat and increase fruit and vegetables and ensuring healthy options are available for children.

Local pages to be drafted. Pages to be piloted in 10 businesses.

Sept 2014 January 2014

Dec 2014 31 March 2015

Katharine O’Connor (Manager Food Safety and Standards, ODPH, PCC)

TBC TBC

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outcomes Start date




Indicator status

2.3.4 Develop a local nutrition award for businesses.

Investigate the usefulness of the Eat Out, Eat Well Scheme launched by Sussex Trading Standards. Adopt the Eat Out, Eat Well Scheme or propose new scheme. Pilot the Nippers Nutrition Programme (Cornwall) in day nurseries, pre-schools and childminders.

Sept 2014 Nov 14 Jan 15

October 2014 31 March 15 31 March 15

Katharine O’Connor (Manager Food Safety and Standards, ODPH, PCC)

TBC TBC

2.3.5 Work with Plymouth University to explore potential dietetic student projects around key themes, including food poverty and a dietetic/nutritional review of food banks

Share potential project ideas with dietetic students end of July/early August

July 2014

Ongoing Clare Pettinger (Lecturer Public Health

TBC TBC

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outcomes Start date




Indicator status

Project summary reports/updates shared with Plymouth’s Healthy Lives for Healthy Weight Task and Finish Group

July 2014

Ongoing Dietetics, Plymouth University)

TBC TBC

2.3.6 Sustainable Food Cities bronze award. (John Dixon)

TBC TBC TBC TBC TBC TBC TBC TBC

Objective 2.4: Inspire and enable educational settings (including early years, schools, colleges and universities) and community settings to be active, health promoting learning environments 2.4.1 (i) Increase the number of schools

engaged and working to achieve the Healthy Child Quality Mark Bronze

Year on year increase in number of schools achieving the Healthy Child Quality Mark Bronze (to 40%), with at least 90 schools (approx. 95%) engaged with the programme by 2015 (72% schools currently engaged and 30%

April 2014

April 2015

Mike House (Education, Learning and Family Support, PCC) ,

Education, Learning and Family Support (PCC) ODPH (PCC)

TBC TBC

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outcomes Start date




Indicator status

achieved Bronze status - accurate April 2014)

(ii) Increase the number of schools working on targeted health and wellbeing projects through the Healthy Child Quality Mark, Silver and Gold Process

Year on year increase in number of schools achieving Healthy Child Quality Mark Silver and Gold (at least 10 schools by 2015)

April 2014

April 2015

TBC TBC

2.4.2 Encourage more schools to participate in Learning in the Natural Environment (LIE)

40 schools actively engaged in LINE Plymouth Network

2013 2016 TBC Jemma Sharman (Natural Infrastructure Team, PCC)

Plymouth Local Nature Partnership

TBC TBC

2.4.3 Implement the Healthy College Quality Mark

2 colleges to achieve Bronze status by 2015

April 2014

April 2015

Mike House (Education, Learning and Family Support, PCC)

Education, Learning and Family Support (PCC) ODPH (PCC)

TBC TBC

2.4.4 Pilot the Healthy Child Quality Mark for Early Years (0-5 year olds) with particular

Complete pilot process by 2014,

April 2014

Dec 2014 (PILOT)

Mike House and

Education, Learning and

TBC TBC

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outcomes Start date




Indicator status

focus on young parents As part of this, develop an Early Years Healthy Eating Kitemark for early years settings

rolling out to establishments in 2015.

(PILOT) Laura Freeman (Education, Learning and Family Support, PCC)

Family Support (PCC) ODPH (PCC)

2.4.5 Increase the proportion of schools offering Change4Life Clubs

TBC TBC TBC TBC Anna Clooke (Joint Partnership Development Manager, Plymouth School Sports Partnership)

TBC TBC TBC

2.4.6 Deliver the Plymouth Food Charter and Food Plymouth Action Plan 2011-2014

(SEE 2.3.1)

2.4.7 Implement the Department for Education’s School Food Plan (published July 2013) across Plymouth which outlines 16 actions for schools to work towards - this includes ensuring school meals and food provided outside of

TBC

July 2013

Ongoing TBC Education, Learning and Family Support (PCC)

TBC TBC

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outcomes Start date




Indicator status

lunchtimes meet new nutritional standards, introducing practical cooking skills and increasing school meal uptake in line with current education legislation Food For Life Gold Catering Mark standard for all school meals???

2.4.8 To link with Plymouth University and the Students Union to maximise opportunities for the Sport Activation funding and the delivery of a range of local and national initiatives aimed at increasing physical activity levels to non or less active people.

To engage with 1,000 students

Sept 2014

July 2017 Louise Francis

Plymouth University, Students Union

TBC TBC

Objective 2.5: Develop a healthy workforce that is competent, confident and effective in promoting healthy lives for healthy weight 2.5.1 Work with partners to develop health

promoting work environments and ensure that all staff maximise opportunities to provide lifestyle advice to Make Every Contact Count

Deliver Making Every Contact Count training across partners

Ongoing Ongoing Jan Potter (Livewell Team, PCH)

Business Health Network (PCH) ODPH (PCC)

TBC TBC

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outcomes Start date




Indicator status

Implement the new national Workplace Wellbeing Charter

16 Oct 2014

Ongoing Sarah Lees (ODPH, PCC) Alison Rowntree (Business Health Network, PCH)

Education, Learning and Family Support (PCC) Livewell Team (PCH) NHS Plymouth

TBC TBC

2.5.2 Promote the new national Workplace Wellbeing Charter to local businesses through the Business Health Network and supplement with a local health at work award scheme

Launch new national Workplace Wellbeing Charter

16 Oct 2014

Ongoing

Sarah Lees (ODPH, PCC) & Alison Rowntree (Business Health Network, PCH)

TBC TBC

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outcomes Start date




Indicator status

2.5.3 Deliver the Community Health Champion Programme

98 Health Champions were trained in 2014 (number trained target = 100 PA) (Local training now developed for training Health Champions)

TBC TBC Alison Rowntree (Livewell Team, PCH)

TBC TBC

2.5.4 As part of developing the Healthy Child Quality Mark (HCQM) for early years settings (see 2.4.4), include a training programme for early years providers to enable them to interpret and implement the voluntary food and drink guidelines (School Food Trust)

TBC March 2014

TBC Laura Freeman (Education, Learning and Family Support, PCC)

TBC TBC

2.5.5 Partners to deliver a training programme around healthy lives for healthy weight to learning disability support workers

TBC TBC TBC Selena Horsham (WESTBOURNE)

TBC TBC

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Aim 3: To give all children the best start to life and support the achievement of healthy lives for healthy weight in their families and communities We know that what happens in early childhood, starting in the womb, has long-term effects on our health and wellbeing, with our most vulnerable children having the poorest outcomes. Children who are obese are more likely to be ill and absent from school due to illness, experience health-related limitations, and require more medical care than normal weight children (Public Health England 2014). Overweight and obese children are also more likely to be obese as adults and have a higher risk of morbidity, disability and premature mortality in adulthood. Addressing healthy lifestyles and nutrition during pregnancy, and early in childhood, can improve health outcomes in later life. Consequently, Aim 3 focuses on giving all children in Plymouth the best start to life and supporting the achievement of healthy lives for healthy weight in their families and communities.

Aim 3: To give all children the best start to life and

support the achievement of healthy lives for healthy

weight in their families and communities

Objective 3.1: Increase breastfeeding rates across the city through creating a culture that understands,

promotes and supports breastfeeding across all sectors of society, particularly in the most

disadvantaged areas

Objective 3.2: Deliver an evidence based, integrated, early intervention approach with a range

of partners in line with the Healthy Child Programme

Objective 3.3: Support pregnant women, children, young people and their families to have the

knowledge and confidence to lead healthy lives for healthy weight

Objective 3.4: Deliver Plymouth's National Child Measurement Programme (NCMP) in line with

national guidance

LINKED MARMOT POLICY OBJECTIVES: • Give every child the best start in life • Enable all children, young people and adults

to maximise their capabilities and have control over their lives

• Ensure a healthy standard of living for all • Create and develop healthy and sustainable


prevention LINKED LOCAL POLICIES/STRATEGIES: • Plymouth Children and Young People’s Plan

2011-2014 • Plymouth Breastfeeding Strategy 2007-2014 • Plymouth’s Early Intervention and

Prevention Strategy 2012-2015 • Healthy Child Programme

37

Aim 3: To give all children the best start to life and support the achievement of healthy lives for healthy weight in their families and communities Action Milestones and outcomes Start

date End date Action

status Lead(s) Key

partner(s) Performance indicator(s) / Public Health Outcomes Framework Indicator(s) action contributes to

Indicator status

Objective 3.1: Increase breastfeeding rates across the city through creating a culture that understands, promotes and supports breastfeeding across all sectors of society, particularly in the most disadvantaged areas 3.1.1 Deliver the Plymouth

Breastfeeding Strategy 2007-2014

Refresh the current breastfeeding strategy

Sept 2014

March 2015 (to complete refresh)

Jan Potter (Livewell Team, PCH)

Livewell Team (PCH) Children’s centre providers Health Visiting Service (PCH) Business Health Network (PCH) Maternity Services (Plymouth Hospitals NHS Trust) ODPH

PHOF 2.2(i) Breastfeeding initiation PHOF 2.2(ii) Breastfeeding prevalence at 6-8 weeks after birth

TBC

Maintain BFI and enhance the accreditation to beacon status in Plymouth Hospitals NHS Trust maternity services, Plymouth Community Healthcare health visiting service and achieve BFI in all children’s centres and University of Plymouth

July 2014

March 2016

Provide a minimum standard of care for all pregnant women and new mothers which promotes breastfeeding and enables safe bottle feeding

July 2014

Ongoing and incorporated in BFI outcome above

Continue to increase the capacity of the volunteer peer support “service” to enable development and innovation

July 2014

Ongoing

38



status Lead(s) Key


Indicator status

Explore the development of telephone peer support and home visiting

July 2014

Evaluation to be completed by Sept 2014

(PCC) University of Plymouth

Increase the number of businesses and public facilities which are accredited through the Business Health Network Awards Scheme, which incorporates being “breastfeeding friendly”

July 2014

Ongoing yearly increase

Objective 3.2: Support pregnant women, children, young people and their families to have the knowledge and confidence to lead healthy lives for healthy weight 3.2.1 Implement a

sustainable antenatal education programme (Great Expectations) delivered in partnership with Plymouth Community Healthcare, Plymouth Hospitals NHS Trust and children centre providers

Develop a strong evidence base of outcomes and a business case which will inform commissioners, in order to secure joint funding for the sustainability of the programme and its on-going development and coordination

Oct 2014

Oct 2014 Jan Potter (Livewell Team, PCH)

Livewell Team (PCH) Maternity Services (Plymouth Hospitals NHS Trust) ODPH (PCC) Health

TBC TBC

Coordinate and support the development and implementation of a 3 year research project by the University of Plymouth

June 2014

June 2017 Jan Potter (Livewell Team, PCH)

TBC TBC

39



status Lead(s) Key


Indicator status

Medical School to evaluate the effectiveness of the programme in meeting specific outcomes and the added value of group engagement

Visiting Service (PCH) University of Plymouth Medical School

3.2.2 Increase uptake of the Healthy Start Programme for expectant and new mums and young children in targeted areas to best in England

Increase uptake from 76% (currently) to best in England 86%

April 2014

TBC Jan Potter (Livewell Team, PCH)

ODPH (PCC) Plymouth Hospitals NHS Trust PCH Children’s centre providers

TBC TBC

Develop a robust system of distribution and data collection for the Healthy Start Vitamin Scheme, through local children’s centres

April 2014

TBC

Enable pregnant women, breastfeeding mothers and infants to access the Healthy Start Vitamin Scheme and monitor its uptake across the city

April 2014

TBC TBC TBC

40



status Lead(s) Key


Indicator status

3.2.3 Develop a “Great Expectations Graduate Programme” using the existing evidence base for infant nutrition and the Healthy Child Programme, to promote optimum weaning practices and healthy lifestyle behaviours

Coordinate an early years steering group to consult on and prioritise programme content, in order to utilise wider expertise and develop an effective parent programme

TBC TBC Jan Potter (Livewell Team, PCH)

TBC TBC

Develop a programme of training for health practitioners and children’s centre staff to provide them with additional skills to support and deliver the programme

TBC TBC TBC TBC

Implement a small scale pilot programme to test, evaluate and review and programme content and logistics

TBC TBC TBC TBC

3.2.4 Work with early years providers to develop, monitor and evaluate interventions for healthy weight

Map work of children’s centres in terms of supporting parents and families to pursue active, healthy lives

July 2015

Sept 2015

Rachel Humphries (Livewell Team, PCH)

TBC TBC

Early years providers’ data systems to be updated to enable monitoring of HENRY one-to-one sessions

June 2014

Sept 2014

TBC TBC TBC

41



status Lead(s) Key


Indicator status

Children’s centres to complete mapping of one-to-one work with families to identify needs in terms of active, healthy lives and monitor progress

TBC TBC

TBC TBC TBC

Objective 3.3: Deliver an evidence based, integrated, early intervention approach with a range of partners in line with the Healthy Child Programme 3.3.1 Develop an

integrated model of early intervention organised on a locality basis, with a shared workforce and delivered by a range of partners

Complete a ‘one-year on’ evaluation report of the HENRY programme (Health Exercise Nutrition for the Really Young) to determine its success

April 2014

Sept 2014 Rachel Humphries (Livewell Team, PCH)

Livewell Team (PCH) Children’s centre providers Health Visiting Service (PCH) Business Health Network (PCH) Maternity

TBC TBC

Hold a multi-agency workshop to review the HENRY evaluation report (above) and scope options for going forward

July 2014

Sept 2014

TBC TBC

42



status Lead(s) Key


Indicator status

Services (Plymouth Hospitals NHS Trust) ODPH (PCC) University of Plymouth

Objective 3.4: Deliver Plymouth’s National Child Measurement Programme* (NCMP) in line with national guidance [*the NCMP programme is recognised internationally as a world-class source of public health intelligence and holds UK National Statistics status] 3.4.1 Measure the weight

and height of children in reception class (aged 4-5 years) and year 6 (aged 10-11 years) to assess overweight children and obese levels within primary schools

Annual measurement of height and weight of children in reception class (aged 4-5 years) and year 6 (aged 10-11 years) to assess overweight children and obesity levels within primary schools

Annually Annually Rob Nelder (Office of Director of Public Health, Plymouth City Council)

ODPH (PCC) Livewell Team (PCH) School Nurse Team (PCH)

PHOF 2.6(i) Proportion of children aged 4-5 classified as overweight or obese PHOF 2.6(ii) Proportion of children aged 10-11 classified as overweight or obese

TBC

Production of annual NCMP report including reception class and year 6 % uptake - report used to: inform local planning and delivery of services for children; gather population-level data to allow

Annually Annually

43



status Lead(s) Key


Indicator status

analysis of trends in growth patterns and obesity; increase public and professional understanding of weight issues in children; be a vehicle for engaging with children and families about healthy lifestyles and weight issues Details of underweight and overweight children in the city, identified by the NCMP, shared with school nurse service and parents telephoned for an initial discussion and advice. Offered further written advice and/or a clinic appointment with the school nurse.

Ongoing Ongoing School Nurse Team (PCH)

Explore links with change4life clubs and GPs and how best to link NCMP with the healthy lifestyles programme (see Aim 4)

Oct 2014

Oct 2014 Rachel Humphries (Livewell Team, PCH)

Explore parental views regarding the NCMP school

July 2014

Sept 2014 Rachel Humphries

44



status Lead(s) Key


Indicator status

nurse support service for parents and a new lifestyle programme for parents

(Livewell Team, PCH)

45

Aim 4: To ensure effective prevention, identification, early intervention and management of obesity in children and adults The National Institute for Health and Care Excellence (NICE) has developed an obesity care pathway which aims to: prevent the rising prevalence of obesity and the diseases associated with it; increase the effectiveness of interventions to prevent people becoming overweight and obese; and improve the care provided to those with obesity, particularly in primary care. This pathway can be implemented as part of an integrated programme in Plymouth that not only address the population as a whole, but also addresses locally identified inequalities in obesity and associated diseases and conditions. Aim 4 focuses on ensuring that individuals who are overweight or obese can access tailored advice and support regarding healthy lives for healthy weight through a local telephone advice line and greater signposting. It also highlights the need for appropriate obesity care pathways which cover pregnancy, the early years, children and young people, adults and older adults in Plymouth.

Aim 4: To ensure effective prevention, identification, early

intervention and management of obesity in children and adults

Objective 4.1: Ensure that everyone is able to access personalised information, advice and

support regarding healthy lives for healthy weight

Objective 4.2: Develop and promote local obesity care pathways (based on current

guidance) that cover the prevention, identification, early intervention and management of obesity in children and adults, and improve the

quality of care provided

LINKED MARMOT POLICY OBJECTIVES: • Enable all children, young people and adults to

maximise their capabilities and have control over their lives

• Ensure a healthy standard of living for all • Create and develop healthy and sustainable


prevention LINKED LOCAL POLICIES/STRATEGIES: • Plymouth’s Early Intervention and Prevention

Strategy 2012-2015

46

Aim 4: To ensure effective prevention, identification, early intervention and management of obesity in children and adults Action Milestones and outcomes Start

date End date

Action status


Indicator status

Objective 4.1: Ensure that everyone is able to access personalised information, advice and support regarding healthy lives for healthy weight 4.1.1 Commission the Livewell

Service to develop and deliver a range of interventions and training, and co-ordinate a range of programmes around healthy weight for children, adults and families

Deliver 10% Club programme (Tier 2 12wk weight management intervention) targeted at priority neighbourhoods for adults with a BMI<40: • 100 people completing

10% Clubs • Number of people

achieving 5% and 10% weight loss

• % of adults maintaining initial weight loss at 12m and 24m

• Number of weight management brief interventions

• Number of people receiving nutrition training

• Number of people attending a nutrition intervention

• 2 family weight management

TBC TBC Jan Potter and Rachel Humphries (Livewell Team, PCH)

TBC Livewell Team (PCH) ODPH (PCC) Learning Disability Service (PCH) Partners supporting adults with a learning disability (e.g. Ridleys, Active4Life and Highbury Trust)

47


date End date

Action status


Indicator status

programmes to be delivered

• Number of people signposted to physical activity services

• Number of people accessing a Livewell physical activity session

• Number of people trained to lead health walk

• Number of group activities delivered to adults aged 50+

Pilot the delivery of a Tier2 weight management intervention for children aged 5-13 and their families

Promote physical activity in line with DH guidance

Target priority neighbourhoods and people who are inactive by the provision of appropriate physical activities and provide support to enable them to access mainstream

48


date End date

Action status


Indicator status

activities Provide support for weight management appropriate for people with identified learning disabilities and their carers through existing networks

4.1.2 Open a centralised and branded telephone advice line offering advice and support to individuals and agencies around healthy lifestyles and nutrition, weight management and physical activity

Central advice line open: (date xxx) INCLUDE MONITORING HERE XXX

April 2014

Ongoing Jane Bullard (Livewell Team, PCH)

TBC TBC

Objective 4.2: Develop and promote local obesity care pathways (based on current guidance) that cover the prevention, identification, early intervention and management of obesity in children and adults, and improve the quality of care provided 4.2.1 Develop and promote a

local maternity obesity care pathway based on current guidance which covers pre-conception, antenatal and postnatal care (pathway should cover prevention, identification, early intervention and

Establish a task and finish group to develop a local maternity obesity care pathway based on current guidance

July 2014

Ongoing Chair of task and finish group (TBC)

Maternity Services (PCH) ODPH (PCC) Livewell Team (PCH) NHS Plymouth

TBC TBC

Task and finish group to map existing provision across the city and identify gaps, and work into a clear care pathway which builds

TBC TBC

49


date End date

Action status


Indicator status

management of obesity – and include at risk groups)

on current provision and Great Expectations (see Aim 3)

4.2.2 Develop and promote a local child and young person obesity care pathway based on current guidance (pathway should cover prevention, identification, early intervention and management of obesity – and include at risk groups)

Establish a task and finish group to develop a local child and young person obesity care pathway based on current guidance (consider splitting by age e.g. Cornwall’s split by 0-23 months and 2-16 years)

TBC TBC Chair of task and finish group (TBC)

TBC TBC TBC

Task and finish group to map existing provision across the city and identify gaps, and work into a clear care pathway which builds on current Tier 1 and Tier 2 weight management for children

TBC TBC

4.2.3 Develop and promote local adult and older adults obesity care pathways based on current guidance (pathway should cover prevention, identification,

Establish a task and finish group to develop a local adult obesity care pathway based on current guidance (consider splitting for older adults)

TBC TBC Chair of task and finish group (TBC)

TBC TBC TBC

50


date End date

Action status


Indicator status

early intervention and management of obesity – and include at risk groups)

Task and finish group to map existing provision across the city and identify gaps (e.g. provision for individuals with a learning disability), and work into a clear care pathway which builds on current Tier 1 and Tier 2 weight management for adults

TBC TBC

plymouth’s healthy lives for healthy weight actio n...

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